| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.18 | $454.18 | $3,511.00 | |
Medica
| Facility | $433.32 | $627.26 | $1,097.94 | |
Midlands
| Facility | $810.53 | $1,090.82 | $1,360.90 | |
Sanford Health Plan
| Professional | $555.29 | $752.37 | $857.79 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |